Individual
COLLEEN VANDE HEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1440
Mailing address
2422 LINCOLNWOOD DR, EVANSTON, IL 60201-2051
(847) 204-5590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005109
IL
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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